| NPI | 1508103029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L HOYT Owner 479-784-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-2638) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 2789) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-05-14 |